Bradley R Prestidge MD PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

H8803 Issued in TX

Legal business name

BRADLEY R PRESTIDGE MD PA

Practice address

9102 Floyd Curl Dr
Suite 1
San Antonio, TX 78240-1553

Phone

(210) 247-0888

Fax

(210) 558-0758

NPI assigned

Nov 12, 2009

Last updated

Nov 12, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bradley R Prestidge, MD

Title

Medical Director

Phone

(210) 247-0888

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1366779233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-247-0888",
            "fax_number": "210-558-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-247-0888",
            "fax_number": "210-558-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY R PRESTIDGE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "PRESTIDGE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-247-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H8803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Gwinn Bradford Jr., DDS
• Christina Bradford, BCBA
• Kathleen Marie Bradford
• Katlynn Bradford
• Lauren Elizabeth Brading, PNP
• Hannah Olivia Bradley
• Lashlee Anne Bradley, RBT
• Laurie L Bradley, DDS
• Nathaniel David Bradley, MD
• Sandra Kay Bradley, RNC, BSN, NNP

• Radiation Oncology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.